AACN Chapters 1-4 Test Questions With Correct Answers Grade A Certified 2025/26

ACCN - correct answeravailable for those working with adult, pediatric, and neonatal populations ACNPC-AG - correct answerfor nurse practitioners what are the 3 projects/organizations in place to assist nurses in providing safe care? - correct answerJoint Commission Quality and Safety Education for Nurses Project (QSEN) Institute for Healthcare Improvement (IHI) Quality and Safety Education for Nurses Project - correct answeri. sponsored by AACN: provides road map for integrating quality and safety principles into prelicensure nursing education. Defines 6 core competencies the provide a foundation for quality care: Patient Centered Care, Teamwork and Collaboration, Evidence-based practice, Quality Improvement, Informatics, and Safety Joint Commission - correct answeridentified National Patient Safety Goals to be addressed in hospitals, long term care facilities, and other agencies Institute for Healthcare Improvement (IHI) - correct answerintroduced bundles of care to reduce healthcare associated infections bundle of care - correct answer3-5 evidence-based best practices that are done as a whole to improve outcomes, and research is done to evaluate effectiveness Barriers to effective handoff communication - correct answer-Physical setting (noise, lack of privacy, interruptions) -Social setting (organizational hierarchy, status) -Language -Communication medium (limits of telephone, email, paper, computerized records vs. face to face) when is communication at highest risk to be broken down? - correct answershift handoff standardized measures implemented to help prevent communication breakdown at shift change - correct answer-SBAR -QSEN Exemplar box -Checklists -Training all personnel in effective communication methods What type of things contribute to sensory overload/deprivation? - correct answer-Light and noise -Phlebotomy procedures -Loss of privacy -Lack of nonclinical physical contact -Pain which age-related demographic is at highest risk for negative ICU outcomes? - correct answerolder adults how can nurses best support family members of patients and assist them in coping? - correct answer-COMMUNICATION -involve them -confirm that everything is being done for the pt main cause of emotional outbreak or inappropriate responses from family members - correct answerlack of communication what does research say about family visitation in the ICU? - correct answerit is actually well documented that visitation has no effect on patients condition and at times it is positive benefits to allowing family to be present during codes - correct answer-removes doubt about pt condition -witness that everything possible was done -decrease anxiety and fear about what is happening -facilitates need to be together with loved one -need to help and support their loved one -sense of closure and grieving should death occur autonomy - correct answerrespect for individual's decision making beneficence - correct answeractions intended to benefit/do good nonmaleficence - correct answerdo no harm justice - correct answerbeing fair to the entire community fair allocation or distribution of resources in healthcare bioethics committees - correct answerteam of physician, nurses, chaplains, social workers, and bioethicists who provide ethics consultations on a case by case basis and help in identifying, analyzing, and resolving ethical problems Situations that may warrant an ethics consult - correct answeri. Disagreement or conflict exists on whether to pursue aggressive life-sustaining treatment, such as cardiopulmonary resusc, in a seriously ill patient, or to emphasize comfort and palliative care ii. Family demands life-sustaining treatment, such as mechanical ventilation or tube feeding, which the physician and nurses consider futile iii. Competing family members are present and want to make critical decisions on the behalf of the patient iv. Seriously ill patient is incapacitated and does not have a surrogate decision maker or advanced directive what must be present in order for a patient to provide consent for themselves? - correct answer1. Competence/ability to understand 2. Voluntariness 3. Disclosure of information basic information that must be present for decision making - correct answeri. Diagnosis of patient ii. Nature, duration, and purpose of proposed treatment iii. Probable outcome iv. Benefits of intervention v. Potential risks vi. Alternative treatments and feasibility vii. Short term and long term prognoses if proposed treatment is not provided order of decision makers in SC - correct answer-guardian -power of attorney -spouse -adult child -parent -adult sibling -grandparent -any adult relative by blood or marriage assumed to have a close relationship with patient when would healthcare proxy/next of kin be used for decision making? - correct answerin a coma, delirious, unconscious advanced directive - correct answerwitnessed written document or oral statement in which instructions are given by a person to express desires related to healthcare decisions. May designate a healthcare surrogate, a living will, or anatomical gift living will - correct answera type of advanced directive; a witnessed written document or oral statement voluntarily executed by a person that expresses the persons instructions regarding life-prolonging procedures proxy - correct answera competent adult who has not been expressly designated to make healthcare decisions for an incapacitated person but is authorized by state statute to make healthcare decisions for the person surrogate - correct answera competent adult designated by the person to make healthcare decisions should that person become incapacitated terminal condition - correct answerthere is no reasonable medical probability of recovery and can be expected to cause death without treatment